CA2017683C - Wound dressing - Google Patents

Wound dressing

Info

Publication number
CA2017683C
CA2017683C CA002017683A CA2017683A CA2017683C CA 2017683 C CA2017683 C CA 2017683C CA 002017683 A CA002017683 A CA 002017683A CA 2017683 A CA2017683 A CA 2017683A CA 2017683 C CA2017683 C CA 2017683C
Authority
CA
Canada
Prior art keywords
wound dressing
pad
dressing according
sheet
strip
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA002017683A
Other languages
French (fr)
Other versions
CA2017683A1 (en
Inventor
Trevor John Andrews
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DE FACTO 202 Ltd
Original Assignee
Ultra Laboratories Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ultra Laboratories Ltd filed Critical Ultra Laboratories Ltd
Publication of CA2017683A1 publication Critical patent/CA2017683A1/en
Application granted granted Critical
Publication of CA2017683C publication Critical patent/CA2017683C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive bandages or dressings
    • A61F13/0203Adhesive bandages or dressings with fluid retention members
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00387Plasters use skin protection
    • A61F2013/004Plasters use skin protection from liquid water
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00727Plasters means for wound humidity control
    • A61F2013/00731Plasters means for wound humidity control with absorbing pads
    • A61F2013/0074Plasters means for wound humidity control with absorbing pads containing foams
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00727Plasters means for wound humidity control
    • A61F2013/00731Plasters means for wound humidity control with absorbing pads
    • A61F2013/00744Plasters means for wound humidity control with absorbing pads containing non-woven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00855Plasters pervious to air or vapours
    • A61F2013/00863Plasters pervious to air or vapours with pores
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00855Plasters pervious to air or vapours
    • A61F2013/00885Plasters pervious to air or vapours impervious, i.e. occlusive bandage
    • A61F2013/00889Plasters pervious to air or vapours impervious, i.e. occlusive bandage waterproof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/84Accessories, not otherwise provided for, for absorbent pads
    • A61F13/8405Additives, e.g. for odour, disinfectant or pH control
    • A61F2013/8408Additives, e.g. for odour, disinfectant or pH control with odour control
    • A61F2013/842Additives, e.g. for odour, disinfectant or pH control with odour control with active charcoal

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The invention provides a wound dressing comprising a pad of soft polyurethane foam one surface layer of which is hydrophilic and a backing layer of which is hydrophobic and a sheet or strip of a soft conformable polyether foam having an adhesive on one surface thereof. The surface of said pad opposite the hydrophobic layer is secured to said sheet or strip by said adhesive and said sheet or strip overlaps said pad to enable the pad to be secured in position with said hydrophilic layer in contact with a wound by means of said adhesive.

Description

20I 76~3 1 94024-64 SJD:jy WOUND DRESSING

The present invention relates to wound dressings.

It is known from United Kingdom Patent Specifications Nos. 1417962 and 1450201 to provide a wound dressing comprising a pad of polyurethane material one surface layer of which has been modified to render it hydrophilic and the remainder of which is hydrophobic. Such wound dressings are used by placing the pad over the wound with the hydrophilic surface of the pad in contact with the wound and then securing the pad in place by adhesive strapping or by bandaging thereover. It is also known from United States Patent No. 4730611 to provide a wound dressing comprising a foamed polyurethane as aforesaid positioned on a porous non-woven fibrous sheet of a larger selected size and having an adhesive on the side contacting the hydrophobic side of said pad so that the dressing presents the hydrophilic side and the adhesive for use in contact with a wound and the area surrounding the wound.

With wound dressings of the kind aforesaid it is desirable that the hydrophilic surface of the pad remain in close contact with the wound to remove exudates and to promote healing.
With the known wound dressings this is difficult to achieve, particularly where the wound dressing is applied to an area subject to considerable movement such as an elbow joint or a knee joint, since conventional adhesive strapping and conventional 2017~83 2 94024-64 SJD:jy bandaging either do not hold the pad in close contact with the wound over an extended period of time or can quickly work loose.
The wound dressing comprising a polyurethane pad positioned on a porous non-woven fibrous sheet in accordance with the aforesaid United States patent has little elasticity and therefore does not readily conform for any extended period of time to difficult areas such as elbow joints and knee joints.

It is also desirable that a wound dressing should be impervious to water to enable a patient to bathe or shower without wetting or contaminating the wound but at the same time should be sufficiently porous to enable moisture to evaporate therethrough to maintain an environment under the dressing which will promote rapid healing of a wound. These requirements are not met by the known wound dressings.

The present invention therefore has as its object to provide a wound dressing which will overcome the limitations of X

201768~

conformable even to difficult areas of the body such as elbow joints or knee joints, which is water impermeable and which will allow moisture to 5 evaporate therethrough.

A wound dressing comprising a pad of soft-polyurethane foam one surface layer of which is hydrophillic and a backing layer of which is hydrophobic and a sheet or strip of a soft conformable polyetherurethane 10 foam having an adhesive on one surface thereof, the surface of said pad opposite said hydrophillic layer being secured to said sheet or strip by said adhesive and said sheet or strip overlapping said pad to enable said pad to be secured in position with said hydrophillic layer in contact with a wound by means of said adhesive, wherein the polyetherurethane foam is a 15 predomin~ntly closed cell foam having a pore size of 0.1 to 0.6 mm, such that the dressing is waterproof but water vapour permeable.

Said sheet or strip may overlap said pad on two opposite sides thereof although it is preferrred that the sheet or strip overlap said pad around the 20 whole of the periphery thereof.

A release paper or film may be applied over said adhesive, said release paper or film being removable prior to application of the wound dressing over a wound.
Said pad may have a thickness from 3 to 10 mm, preferably from 4 to 6 mm.

f.~ ~

4 94024-64 SJD:jy Said pad may be compressed around the periphery.
Preferably, the compressed region extends inwardly for 5 mm to 10 mm from the edge, suitably 6 mm to 8 mm from the edge.

Preferably, the periphery is compressed to have a thickness of from 0.1 mm to 1.0 mm, suitably from 0.2 mm to 0.6 mm.

Said sheet or strip may be formed from a high density polyetherurethane foam, preferably a predominantly closed cell blocked toluene di-isocyanate polyetherurethane foam. Said polyetherurethane foam may have a pore size of 0.1 to 0.6 mm.
The sheet or strip may have an elongation of 200% to 300%, preferably 240% to 270%. The sheet or strip may have a thickness of 0.2 to 1.0 mm, preferably 0.4 to 0.8 mm.

The said adhesive is preferably an acrylic adhesive but may be any of the other adhesives approved for medical use.

If desired, said pad may comprise at or adjacent said opposite surface thereof a layer impregnated with activated carbon for adsorbing organic odours. Thus, said impregnated layer may comprise a layer of non-woven viscose fibres on to which activated carbon granules have been sprayed. Said impregnated layer may be sandwiched between said sheet or strip and the hydrophobic backing layer of the pad or between two layers of hydrophobic polyurethane foam. Dressings comprising X

20176~3 94024-64 SJD:jy such an impregnated layer are useful when dressing wounds which give off an offensive odour as is the case, for example, with certain leg ulcers.

The wound dressing of the present invention may, in conventional manner, be sterile and be packaged in a sterile pack. For example said dressing and said pack may have been sterilised by gamma irradiation after packaging of the dressing in said pack.

The invention will be more particularly described with reference to the accompanying drawings, in which Figure 1 is an isometric view of a wound dressing according to the present invention, Figure 2 is a fragmentary sectional elevation on an enlarged scale of the wound dressing of Figure 1, Figure 3 is a fragmentary sectional elevation on an enlarged scale of a modified wound dressing according to the present invention, Figure 4 is a fragmentary sectional elevation of another modification of a wound dressing according to the invention, and 201 768~
6 94024-64 SJD:jy Figure 5 is a fragmentary sectional elevation of a further embodiment of a wound dressing according to the invention.

Referring to Figure 1 and 2 of the drawings it will be seen that the wound dressing illustrated therein comprises a pad 1 of soft polyurethane foam one surface layer 2 of which is hydrophilic and the remainder of which is hydrophobic and forms a backing layer 3 and a sheet or strip 4 of a soft conformable polyether foam having an adhesive 5 on one surface thereof, the surface of the hydrophobic layer 3 being secured to the sheet or strip 4 by said adhesive 5 and the sheet or strip 4 overlapping the pad 1 as shown at 6 to enable the pad 1 to be secured in position with the hydrophilic layer 2 in contact with a wound means of the adhesive 5. As will be seen from Figure 1, the sheet or strip 4 overlaps the pad 1 around the whole of the periphery thereof. A release paper or release film 7, indicated by broken lines in Figure 1, is applied over the adhesive 5 and over the pad 1 and is removable prior to application of the dressing over a wound.

The pad 1 has a thickness of from 3 to 10 mm, preferably 4 to 6 mm.

Referring to the embodiment shown in Figure 5, the pad 1 is preferably compressed around its periphery. The compressed region 9 may extend inwardly for 5 mm to 10 mm from the edge, 201768~
7 94024-64 SJD:jy suitably 6 mm to 8 mm from the edge. Preferably, the periphery is compressed to have a thickness of from 0.1 to 1.0 mm, suitably from 0.2 to 0.6 mm.

Compressing the periphery of the pad 1 increases the effective border width without increasing overall dimensions or reducing the pad 1 area, to enable a more secure fixation of the wound dressing on the patient. Further, the release papers 7 thereby sits flat across the full width of the adhesive surfaces.

The compression of the periphery of the pad 1 is achieved prior to assembly of the wound dressing. The pad 1 is placed, with the hydrophilic surface layer 2 uppermost, centrally onto a forming tray with a cut out 14 mm smaller in all dimensions. The forming tray and wound dressing are then placed onto the lower, unheated, platen of a heat press. The lower platen is raised at a pressure in the range of 50 to 5000N/m2, preferably 500 to 1500N/m2, against the upper platen which is heated to a temperature of 140C to 250C, preferably 180C to 200C. After a period of time, preferably between 10 seconds and 90 seconds - suitably about 20 seconds - the pressure is released and the bottom platen lowered. The wound dressing so produced will have a periphery reduced in thickness.

The sheet or strip 4 in either embodiment is formed from a high density predominantly closed cell blocked toluene di-isocyanate polyetherurethane foam. Preferably, the 8 94024-64 SJD:jy polyetherurethane foam from which the sheet or strip 4 is formed has a pore size of 0.1 to 0.6 mm and an elongation of 200% to 300%, preferably to 240% to 270%. The sheet or strip 4 may have a thickness of from 0.2 to 1.0 mm, preferably from 0.4 to 0.8 mm.
The corners of the sheet or strip 4 are preferably rounded, to prevent them from lifting up when the wound dressing is in use.

The adhesive 5 is an acrylic adhesive although other adhesives approved for medical use may be used if desired.

The wound dressing illustrated in Figures 1 and 2 is highly conformable to different parts of the body, even to difficult parts such as elbow joints or knee joints, is waterproof so that a patient wearing the dressing can bathe or shower without danger of wetting or contaminating a wound and is sufficiently porous to enable moisture to evaporate therethrough.

As shown in Figures 3 and 4, in which like parts have been given like reference numerals, the pad 1 in either embodiment may include a layer 8 of non-woven fibres, e.g., viscose fibres, impregnated with granules of activated carbon.
Thus, as shown in Figure 3, the layer 8 may be provided between the hydrophobic layer 3 and the layer of adhesive 5 or, as shown in Figure 4, the layer 8 may be sandwiched between hydrophobic layers 3a, 3b of the pad 1. A dressing incorporating the layer 8 is particularly useful for dressing wounds which give off an 20l76a3 - 9 94024-64 SJD:jy offensive odour, as is the case, for example, with certain leg ulcers and other wounds.

Claims (17)

1. A wound dressing comprising a pad of soft-polyurethane foam one surface layer of which is hydrophillic and a backing layer of which is hydrophobic and a sheet or strip of a soft conformable polyetherurethane foam having an adhesive on one surface thereof, the surface of said pad opposite said hydrophillic layer being secured to said sheet or strip by said adhesive and said sheet or strip overlapping said pad to enable said pad to be secured in position with said hydrophillic layer in contact with a wound by means of said adhesive, wherein the polyetherurethane foam is a predominantly closed cell foam having a pore size of 0.1 to 0.6 mm, such that the dressing is waterproof but water vapour permeable.
2. A wound dressing according to claim 1, wherein said sheet or strip overlaps said pad on opposite sides thereof.
3. A wound dressing according to claim 1, wherein said sheet or strip overlaps said pad around the whole of the periphery thereof.
4. A wound dressing according to claim 1, wherein a release paper or film is applied over said adhesive, said release paper or film being removable prior to application of the wound dressing over a wound.
5. A wound dressing according to claim 1, wherein said pad has a thickness of from 3 to 10 mm.
6. A wound dressing according to claim 1 wherein said pad has a thickness of from 4 to 6 mm.
7. A wound dressing according to claim 1, wherein said pad is compressed around the periphery.
8. A wound dressing according to claim 7, wherein the compressed region extends inwardly for 5 mm to 10 mm from the edge of the pad.
9. A wound dressing according to claim 7, wherein the periphery is compressed to have a thickness of from 0.1 mm to 1.0 mm.
10. A wound dressing according to claim 1, wherein said sheet or strip is high density.
11. A wound dressing according to claim 10, wherein said sheet or strip is formed from a blocked toluene di-isocyanate polyetherurethane foam.
12. A wound dressing according to claim 10, or wherein said sheet or strip has an elongation of 200% to 300%.
13. A wound dressing according to claim 1, wherein said sheet or strip has a thickness of from 0.2 mm to 1.0 mm.
14. A wound dressing according to claim 1, wherein said adhesive is an acrylic adhesive.
15. A wound dressing according to claim 1, wherein said pad comprises at or adjacent said opposite surface thereof a layer impregnated with activated carbon for absorbing organic odours.
16. A wound dressing according to claim 15, wherein said impregnated layer comprises a layer of non-woven viscose fibres on to which activated carbon granules have been sprayed.
17. A wound dressing according to claim 15 or 16, wherein said impregnated layer is sandwiched between two layers of hydrophobic polyurethane foam.
CA002017683A 1989-02-23 1990-05-28 Wound dressing Expired - Fee Related CA2017683C (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB8904131A GB2228682B (en) 1989-02-23 1989-02-23 Wound dressing

Publications (2)

Publication Number Publication Date
CA2017683A1 CA2017683A1 (en) 1991-11-28
CA2017683C true CA2017683C (en) 1994-09-06

Family

ID=10652186

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002017683A Expired - Fee Related CA2017683C (en) 1989-02-23 1990-05-28 Wound dressing

Country Status (10)

Country Link
US (1) US5154928A (en)
EP (1) EP0457977B1 (en)
AT (1) ATE118683T1 (en)
AU (1) AU621754B1 (en)
CA (1) CA2017683C (en)
DE (1) DE69017199T2 (en)
DK (1) DK0457977T3 (en)
ES (1) ES2071017T3 (en)
GB (1) GB2228682B (en)
GR (1) GR3015841T3 (en)

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Also Published As

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AU621754B1 (en) 1992-03-19
EP0457977B1 (en) 1995-02-22
GR3015841T3 (en) 1995-07-31
GB2228682A (en) 1990-09-05
DE69017199D1 (en) 1995-03-30
US5154928A (en) 1992-10-13
DE69017199T2 (en) 1995-07-27
GB2228682B (en) 1992-08-12
ATE118683T1 (en) 1995-03-15
ES2071017T3 (en) 1995-06-16
DK0457977T3 (en) 1995-03-27
GB8904131D0 (en) 1989-04-05
EP0457977A1 (en) 1991-11-27
CA2017683A1 (en) 1991-11-28

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